When a client presents with thoracic hyperkyphosis (rounded back), there are many approaches for how Pilates can treat thoracic hyperkyphosis. And for each of these approaches, many Pilates exercises can be utilized. Before addressing these approaches, let’s briefly review thoracic hyperkyphosis…

So, if hip abductor group on one side is tighter at baseline tone than the hip adductor group on that side, the pelvis will be pulled into depression on that side, resulting in a lumbar scoliosis that is convex on that side. Similarly, tight opposite-side hip adductor musculature can cause the same scoliotic curve.